31D1036740 CLIA NUMBER - HACKETTSTOWN MEDICAL - PRIMARY CARE PARTNERS AFFILIATE

Laboratory Demographics

  • CLIA Code: 31D1036740
  • Facility Name: HACKETTSTOWN MEDICAL - PRIMARY CARE PARTNERS AFFILIATE
  • Facility Address: SCHOOLEY'S MOUNTAIN ROAD HASTINGS SQUARE PLAZA #5
    HACKETTSTOWN, NJ
    ZIP 07840
  • Facility Phone: 908 979-0050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KERI INGRASSIA-SQUIERS DO
  • NPI Number: 1578650628
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1036740
LAB Type Physician Office
Facility Name HACKETTSTOWN MEDICAL - PRIMARY CARE PARTNERS AFFILIATE
Street SCHOOLEY'S MOUNTAIN ROAD HASTINGS SQUARE PLAZA #5
City HACKETTSTOWN
State NJ
ZIP 07840
Phone 908 979-0050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Physician Office
Lab Director KERI INGRASSIA-SQUIERS DO

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This page was last updated on: 9/29/2025